Acute Thrombus in the Common Iliac Artery Following Robotic Total Hip Arthroplasty: A Case Report

Abstract

Thrombus formation following robotic Total Hip Arthroplasty (THA) has been documented; however, involvement of the common iliac artery is uncommon, even among the minimal studies available on this subject. The present report provides insight into the diagnosis and management of this rare postoperative complication. A left-sided robotic total hip replacement was performed on a 55-year-old Indian male patient, following which his left lower limb pulses were not palpable. A complete occlusion of the left common iliac artery was noted on a CT angiogram. Embolectomy was performed, after which the patient recovered well. The present report highlights the importance of pre- and postoperative monitoring and the ready availability of angiograms and vascular surgeons. With these systems in place, adequate results can be achieved.